Individual
MR. MANUEL VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
446 ALTA RD, SAN DIEGO, CA 92158-0001
(619) 671-6534
Mailing address
28890 BIARRITZ CT, MENIFEE, CA 92584-8960
(619) 405-7750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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